Description : 57. The client was prescribed Ocreotide acetate (Sandostatin). Nurse Carla would monitor for which of the following side effects?
Last Answer : A. Abdominal pain
Description : The preferred route of administration of medication in the most acute care situations is which of the following routes? a) Intravenous The IV route is the preferred ... ) Intramuscular Intramuscular administration of medication is absorbed more slowly than intravenously administered medication.
Last Answer : a) Intravenous The IV route is the preferred parenteral route in most acute care situations because it is much more comfortable for the patient, and peak serum levels and pain relief occur more rapidly and reliably.
Description : Heparin therapy is usually considered therapeutic when the patient's activated partial thromboplasin time (aPTT) is how many times normal? a) 1.5 to 2 The amount of heparin administered is based on aPTT ... value would have to be greater than .25 to .75 times normal to be considered therapeutic.
Last Answer : a) 1.5 to 2 The amount of heparin administered is based on aPTT results, which should be obtained in follow-up to any alteration of dosage.
Description : Vasoactive drugs which cause the arteries and veins to dilate, thereby shunting much of the intravascular volume to the periphery and causing a reduction in preload and afterload include agents ... Furosemide (Lasix) Furosemide (Lasix) is a loop diuretic that reduces intravascular fluid volume.
Last Answer : a) Sodium nitroprusside (Nipride) Sodium nitroprusside is used in the treatment of cardiogenic shock.
Description : Which stage of anesthesia is termed surgical anesthesia? a) III With proper administration of the anesthetic, this stage may be maintained for hours. b) I Stage I is beginning anesthesia, as the ... IV is a stage of medullary depression and is reached when too much anesthesia has been administered.
Last Answer : a) III With proper administration of the anesthetic, this stage may be maintained for hours.
Description : In order to help prevent the development of an external rotation deformity of the hip in a patient who must remain in bed for any period of time, the most appropriate nursing action would be ... hip replacement surgery. d) a footboard. A footboard will not prevent the hips from rotating externally.
Last Answer : a) a trochanter roll extending from the crest of the ilium to the midthigh. A trochanter roll, properly placed, provides resistance to the external rotation of the hip.
Description : The charge nurse reported to the chief nurse that the Demerol 50 cc vial inventory has been incorrect for the last 24 hours. The most appropriate action of the narcotic nurse is: A. Log ... by the narcotic nurse D. Review endorsement of clients who received Demerol within the last 24 hours
Last Answer : D. Review endorsement of clients who received Demerol within the last 24 hours
Description : A 60-year-old male presents with severe hyperthyroidism and multinodular goiter. It was decided to treat him with 131I. The most appropriate course of treatment would be: A. Immediate 131I dosing with no ... . Propranolol + Lugol's iodine for 2 weeks- 131I-continue Lugol's iodine for 2-3 months
Last Answer : C. Propranolol + carbimazole till severe thyrotoxicosis is controlled—1 week gap—131I— resume carbimazole after 1 week for 2-3 month
Description : The first step in decontamination is a. Removal of the patient's clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The ... the patient with water. The second step consists of a thorough soap and water wash and rinse.
Last Answer : a. Removal of the patient's clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The first step is removal of the patient ... the patient with water. The second step consists of a thorough soap and water wash and rinse.
Description : In order to be effective, Percutaneous Transluminal Coronary Angioplasty (PTCA) must be performed within what time frame, beginning with arrival at the emergency department after diagnosis of myocardial ... during which streptokinase will not be used again in the same patient for acute MI.
Last Answer : a) 60 minutes The sixty minute interval is known as “door to balloon time” for performance of PTCA on a diagnosed MI patient.
Description : In the United States, nurses performing invasive procedures need to be up-to-date with their immunizations, particularly a) Hepatitis B. Hepatitis B is transmitted through contact with infected blood ... infected person. d) Hepatitis C. At present, immunization against hepatitis C is not available.
Last Answer : a) Hepatitis B. Hepatitis B is transmitted through contact with infected blood or plasma.
Description : 40. The nurse should ensure that all components of medications are documented. Identify all these components. 1. Dosage, route and frequency 2. Name of client and medication 3. Date and time ... and strength 5. Physician's signature and specialty 6. Physician's signature and PRC license number
Last Answer : C. All except 5 and 6
Description : Which of the following guidelines is appropriate to helping family members cope with sudden death? a) Show acceptance of the body by touching it, giving the family permission to touch. The nurse ... avoid volunteering unnecessary information (e.g., patient was drinking at the time of the accident).
Last Answer : a) Show acceptance of the body by touching it, giving the family permission to touch. The nurse should encourage the family to view and touch the body if they wish, since this action helps the family to integrate the loss.
Description : Which of the following nursing interventions is appropriate when caring for the awake and oriented head injury patient? a) Supply oxygen therapy to keep blood gas values within normal range. ... rails and application of mitts are the appropriate interventions in the agitated head-injured patient.
Last Answer : a) Supply oxygen therapy to keep blood gas values within normal range. The goal is to keep blood gas values within normal range to ensure adequate cerebral circulation.
Description : Which of the following terms related to aphasia refers to difficulty in selecting appropriate words, particularly nouns? a) Anomia Anomia is also termed dysnomia. b) Acalculia Acalculia refers to ... wrong words, word substitutions, and faults in word usage in both oral and written language.
Last Answer : a) Anomia Anomia is also termed dysnomia.
Description : The antidote to heparin is a) protamine sulfate. Protamine sulfate, in the appropriate dosage, acts quickly to reverse the effects of heparin. b) vitamin K. Vitamin K is the antidote to ... and symptoms of medicationinduced narcosis. d) Ipecac. Ipecac is an emetic used to treat some poisonings.
Last Answer : a) protamine sulfate. Protamine sulfate, in the appropriate dosage, acts quickly to reverse the effects of heparin.
Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.
Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.
Description : 100. The client complained of generalized pruritus. The following are appropriate nursing interventions except
Last Answer : B. Regulate the temperature to 25 degrees centigrade or lower
Description : 98. Phlebotomy was ordered as part of the therapy. You instructed the client and emphasized that the procedure can be repeated. The client inquired, “What is the primary aim of the procedure?” Your appropriate response is
Last Answer : D. “It keeps the hematocrit within normal range.”
Description : 85. When the surgeon asked for suture to close the abdomen, sponge count has not been completed. Which of the following is the appropriate action of the scrub nurse?
Last Answer : D. Informs the surgeon that sponge count has not been completed
Description : 73. When the client returns to the unit after surgery, which technique is most appropriate to monitor bleeding from the incision?
Last Answer : B. Assess for dampness at the back of the client’s neck
Description : 63. A hypertensive client is taking herbal supplement for his hypertension. He was prescribed antihypertensive medication. The client wants to continue taking his herbal medication to lower his blood pressure. The nurse’s most appropriate action is to
Last Answer : B. Tell the client that herbal supplements have no proven therapeutic effects
Description : 55. The nurse wants to know if the client is aware of the side effects of NSAID. What would be the most appropriate question of the nurse?
Last Answer : B. “Have you ever vomited blood or noticed very black stools?”
Description : 47. Which of the following designs would be most appropriate to use in attempting to determine the participants’ early ambulation after they will be given preoperative teachings?
Last Answer : A. Time series design
Description : 46. Which of the following is the most appropriate method to use?
Last Answer : C. Quantitative method
Description : 44. Mang Pedring has chronic pain due to osteoarthritis and has impaired speech. Which of the following is the most appropriate to determine his medication needs for pain?
Last Answer : B. Asking the client to rate his pain on a scale of 0 to 10 by writing on a magic slate
Description : 38. A nurse encounters a client who refuses to take a prescribed medication. What is the appropriate action of the nurse?
Last Answer : C. Explore the possible reason why the client refuses the prescribed medication
Description : While making your PM shift endorsement, you saw the nursing attendant receiving a package from a patient's watcher. Your appropriate action would be A. Reprimand the nursing attendant right away ... with the nursing attendant the hospital policy D. Endorse to the incoming shift for proper action
Last Answer : D. Endorse to the incoming shift for proper action
Description : A staff nurse was found charting blood glucose result without actually doing the procedure. What is the appropriate initial action of the senior nurse? A. Write and submit an explanation and reprimand as necessary B. Go on leave without pay C. Write an incident report D. Explain to the patient
Last Answer : A. Write and submit an explanation and reprimand as necessary
Description : As the nurse monitors the client, she notices a bright red spot on the dressings which measures 4cm in diameter. The nurse should initially do which appropriate nursing intervention? A. Change the ... C. Notify the clients surgeon of a potential hemorrhage D. Assess the presence of a drain
Last Answer : D. Assess the presence of a drain
Description : When the intern-in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdrew the catheter from the vagina. What is your appropriate and ... . Offer to change the catheter C. Alcoholize the tip of the catheter before reinserting the catheter
Last Answer : B. Offer to change the catheter
Description : Nurse Mercy is setting up for an emergency caesarian section. The linen packs were damp although these were just taken from the sterilizer. The nurse's appropriate action is A. Bring the linen packs back to the ... linen pack C. Open the linen pack and allow to dry D. Do not use the damp linen
Last Answer : D. Do not use the damp linen
Description : Select the antifungal drug which is administered only by the oral route: A. Amphotericin B B. Ketoconazole C. Griseofulvin D. Tolnaftate
Last Answer : C. Griseofulvin
Description : Drug administered through the following route is most likely to be subjected to first-pass metabolism: A. Oral B. Sublingual C. Subcutaneous D. Rectal
Last Answer : A. Oral
Description : Which of the following terms most precisely refers to an infection acquired in the hospital that was not present or incubating at the time of hospital admission? a) Nosocomial infection A 1970 CDC ... in humans has increased within the past two decades or threaten to increase in the near future.
Last Answer : a) Nosocomial infection A 1970 CDC study found that about one-third of nosocomial infections could be prevented when effective infection control programs were in place.
Description : Of the following categories of oral antidiabetic agents, which exert their primary action by directly stimulating the pancreas to secrete insulin? a) Sulfonylureas Therefore, a functioning pancreas is ... of glucose in the intestinal system, resulting in a lower postprandial blood glucose level.
Last Answer : a) Sulfonylureas Therefore, a functioning pancreas is necessary for sulfonylureas to be effective.
Description : Which of the following methods to induce hemostasis after sheath removal post Percutaneous Transluminal Coronary Angioplasty is the least effective? a) Application of a sandbag to the area Several ... ) Application of a pneumatic compression device post PTCA has been demonstrated to be effective
Last Answer : a) Application of a sandbag to the area Several nursing interventions frequently used as part of the standard of care, such as applying a sandbag to the sheath insertion site, have not been shown to be effective in reducing the incidence of bleeding.
Description : When the patient is encouraged to concentrate on a pleasant experience or restful scene, the cognitive coping strategy being employed by the nurse is a) imagery. Imagery has proven effective ... contracting and relaxing muscle groups and is a physical coping strategy as opposed to cognitive.
Last Answer : a) imagery. Imagery has proven effective for oncology patients.
Description : The aim of genomic medicine is a) improving predictions about individuals' susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which ... broader than the cure of disease. d) cloning Genomic medicine is gene-based health care.
Last Answer : a) improving predictions about individuals’ susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which treatments or medications are likely to be most effective or harmful are the focus of genomic medicine.
Description : Which of the following statements accurately describes cancer of the esophagus? a) Chronic irritation of the esophagus is a known risk factor. In the United States, cancer of the esophagus has been associated ... occurs in the fourth decade of life. It usually occurs in the fifth decade of life.
Last Answer : a) Chronic irritation of the esophagus is a known risk factor. In the United States, cancer of the esophagus has been associated with the ingestion of alcohol and the use of tobacco.
Description : What must you be good at in order to be a nurse?
Last Answer : Drawing blood without digging a hole in the patient’s arm.
Description : Which of the following refers to a management tool for organizing personnel, facilities, equipment, and communication for any emergency situation? a) The Incident Command System The ... emergency preparedness required by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
Last Answer : a) The Incident Command System The Incident Command System (ICS) is a management tool for organizing personnel, facilities, equipment and communication for any emergency situation. The federal government mandates ... are used at the level of an individual hospital's emergency response plan as well.
Description : The term given to the category of triage that refers to lifethreatening or potentially life-threatening injury or illness requiring immediate treatment is a) emergent. The patient triaged as emergent ... . The triage category of immediate refers to non-acute, non-lifethreatening injury or illness.
Last Answer : a) emergent. The patient triaged as emergent must be seen immediately.
Description : Bone density testing in patients with post-polio syndrome has demonstrated a) low bone mass and osteoporosis. Bone density testing in patients with post-polio syndrome has demonstrated low bone ... density testing in patients with post-polio syndrome has demonstrated low bone mass and osteoporosis.
Last Answer : a) low bone mass and osteoporosis. Bone density testing in patients with post-polio syndrome has demonstrated low bone mass and osteoporosis. Thus, the importance of identifying risks, preventing falls, and treating osteoporosis must be discussed with patients and their families.
Description : What safety actions does the nurse need to take for a patient on oxygen therapy who is undergoing magnetic resonance imaging (MRI)? a) Ensure that no patient care equipment containing metal enters the ... oxygen tanks) that contains metal or metal parts enters the room where the MRI is located.
Last Answer : a) Ensure that no patient care equipment containing metal enters the room where the MRI is located. For patient safety the nurse must make sure no patient care equipment (e.g., portable oxygen ... literally be pulled away with such great force that they can fly like projectiles towards the magnet.
Description : Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs ... pain at the recipient site is anticipated since the wound has been protected by the graft.
Last Answer : a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.
Description : When providing care to the patient with bilateral nephrostomy tubes, the nurse never does which of the following? a) Clamps each nephrostomy tube when the patient is moved The nurse must never clamp a ... saline q8h as ordered The nurse may irrigate a nephrostomy tube with specific orders to do so.
Last Answer : a) Clamps each nephrostomy tube when the patient is moved The nurse must never clamp a nephrostomy tube because it could cause obstruction and resultant pyelonephritis.
Description : In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the patient's residual urine must be less than which of the following amounts on two separate occasions ... urine that is greater than 100 cc indicates that the suprapubic catheter cannot be discontinued.
Last Answer : a) 100 cc If the patient complains of discomfort or pain, however, the suprapubic catheter is usually left in place until the patient can void successfully.
Description : Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient's fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are ... 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.
Last Answer : a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed.